- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Sr. Director , Medicare Risk Adjustment (MRA) will lead the execution ... strategy and implementation of the organization's Risk Adjustment Programs to optimize the programs' clinical benefit, financial accuracy and ensure program… more
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Associate Director , Risk Adjustment oversees quality assurance audits of medical records, ... payers, and over government agencies. In addition, the Associate Director , Risk Adjustment oversees all...insurance and many other opportunities. **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care… more
- Carle (Urbana, IL)
- …Manager, Director , and Medical Director to strategically plan and execute Risk Adjustment coding efforts for accuracy and risk mitigation, as well ... Risk Adjustment Education Specialist - HYBRID...adjustment education. Develops media outreach in collaboration with senior coding consultant and manager. Qualifications: EDUCATIONAL REQUIREMENTS Bachelor's… more
- Elevance Health (Atlanta, GA)
- …program areas including but not limited to: claims, grievances and appeals, Part D and risk adjustment . + Knowledge of Risk Adjustment Payment ... objectives. + Collaborates with management to set strategic vision; oversees manager(s)/ director (s) with direct reports. + Hires, trains, coaches, counsels, and… more
- Elevance Health (Wilmington, DE)
- …must live within 50 miles of a PulsePoint location. The **Business Strategy Plan Director -Use Case Lead for Risk Adjustment ** is responsible for ... **Business Strategy Planning Director - Risk Adj. Use-Case Lead** **Location:** This...data (HealthOS) assets to drive downstream use cases for Risk Adjustment . This role will ensure that… more
- Molina Healthcare (UT)
- **JOB DESCRIPTION** **Job Summary** Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement direction ... other provider engagement teams within Molina. + Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and… more
- Scripps Health (San Diego, CA)
- …Coding, Clinical Documentation Integrity (CDI) and Health Information Management HIM. The Senior Director manages the staff responsible for hospital and ... of industry best practices in technology and workflow. The Senior Director will use these skills and...accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. . Directs… more
- Bristol Myers Squibb (Cambridge, MA)
- …as appropriate + At least 11years of relevant experience **Experience Requirements** The Senior Director CDL has demonstrated leadership in the design and ... with Global Development Operations/Global Compliance Group to develop asset level risk management plan, resolves issues with Quality/CS, and raises to DT… more
- Citigroup (New York, NY)
- The Tax Controller Senior Group Manager is a senior management level position responsible for the provision of tax reporting and analysis in coordination with ... the Finance team. Additionally, the Tax Controller Senior Group Manager develops reporting and control procedures to accurately prepare information for financial… more
- Molina Healthcare (Albuquerque, NM)
- …related to activities in all government lines of business impacted by regulatory risk adjustment payment model. Accountable for designing and implementing a ... lead to the overall achievement of improved accuracy, compliancy, and completeness in risk adjustment revenue for all government lines of business. Supports the… more
- Bristol Myers Squibb (Princeton, NJ)
- …Resiliency program, Manufacturing, Supply Chain, Facilities, Quality, IT (Cyber), and Third-Party Risk Mgmt + Lead the planning and execution of all BCCM policies ... of a robust resiliency testing program, and supporting our Third-Party Risk Management controls, etc.) + Architect and drive a multi-year BCCM… more
- Mount Sinai Health System (New York, NY)
- …adjustment with a group of practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This ... drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially...Based on experience and demonstrated skill set, could consider Senior Medical Director level and associated compensation… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …of the project with regards to timeline, resources, and budget. Additionally, the Associate Director will support the Senior Director /Head of the Department, ... the Drug Development Project Goals on timeline, budget, scope, risk identification and analysis and quality and will manage...filling in for the Senior Director during travel or other leave, and supporting a… more
- CVS Health (Hartford, CT)
- …financial forecasts; example functions include Finance, Actuarial, Product and Pricing, Network, Risk Adjustment Operations. + Manage senior stakeholders / ... Plans Finance team is looking for a creative Executive Director who will build a Center of Excellence team...that could be aligned with membership, revenue, SG&A and risk adjustment . You will collaborate with stakeholders… more
- Bristol Myers Squibb (Princeton, NJ)
- …of the risk associated with their decisions. + Under the direction of the Senior Director , US and Above Market Medical and Market Access C&E Lead, d raft ... In this role, you will combine your knowledge about risk mitigation strategies , such as education and monitoring,...and efficient way. + Under the direction of the Senior Director , US and Above Market Medical… more
- Bristol Myers Squibb (Cambridge, MA)
- … management, and budget development and monitoring. **Reporting Relationship** + Reports into Senior Director , Project Management (also known as the PM Group ... definition of the operational strategy, management of timelines, budget, risk assessment and mitigation. The Director PM...closely with the Global Program Lead (GPL) and the Senior Project Manager (GPM) to lead sub-GPTs of the… more
- Tucson Electric Power (Tucson, AZ)
- ** Director , Wholesale Marketing** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **5672** **About Us** UNS Energy Corporation ... our employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Director , Wholesale Marketing** **Position Description** Responsible for the oversight… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …damages and uninsured damages if disaster is Presidentially-declared * Provides recommendation to State Risk Director , State Risk Assistant Director and ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4717187) Apply Property Claims Manager (State… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Associate Director , Data and Operations within Compliance and Ethics at will play ... role in shaping the data strategy and operational excellence of our Enterprise Risk and Compliance & Ethics (C&E) functions. This position is responsible for… more
- RELX INC (Franklin, TN)
- …the link below. https:// risk .lexisnexis.com/government About our Team The LexisNexis Risk Solutions - Government Marketing Director is the 'Strategic ... eCommerce experience in executing strategic marketing programs? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk… more
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